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Catalina-Romero C, Calvo E, Sánchez-Chaparro MA, Valdivielso P, Sainz JC, Cabrera M, González-Quintela A, Román J. The relationship between job stress and dyslipidemia. Scand J Public Health 2013; 41:142-9. [DOI: 10.1177/1403494812470400] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Aims: To investigate whether there is an association between job stress, lipid profile and dyslipidemia diagnosis. Methods: This study used a questionnaire to evaluate job stress and lifestyle variables in 91,593 workers undergoing periodic checkups. Serum lipid levels were measured in all cases. Results: The prevalence of job stress was 8.7% (95% CI, 8.5–8.8%). In bivariate analyses, job stress was significantly associated with previous dyslipidemia diagnosis ( p < 0.001), lipid-lowering therapy ( p < 0.001), and altered total-cholesterol ( p = 0.001), HDL-cholesterol ( p < 0.001) and LDL-cholesterol levels ( p = 0.025). After adjusting for potential confounding variables, job stress was still associated with current dyslipidemia diagnosis (OR = 1.10; 95% CI, 1.04–1.17), high LDL-cholesterol (OR = 1.14; 95% CI, 1.05–1.23), low HDL-cholesterol (OR 1.08; 95% CI, 1.01–1.15), high total cholesterol/HDL-cholesterol ratio (OR 1.13; 95% CI, 1.05–1.23) and high LDL-cholesterol/HDL-cholesterol ratio (OR 1.11; 95% CI, 1.04–1.19). Conclusion: These results support the hypothesis of an association between job stress and lipid disturbances.
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Coca-Prieto I, Kroupa O, Gonzalez-Santos P, Magne J, Olivecrona G, Ehrenborg E, Valdivielso P. Childhood-onset chylomicronaemia with reduced plasma lipoprotein lipase activity and mass: identification of a novel GPIHBP1 mutation. J Intern Med 2011; 270:224-8. [PMID: 21314738 DOI: 10.1111/j.1365-2796.2011.02361.x] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
OBJECTIVES Deficiency in the catabolism of triglyceride-rich lipoproteins is the main cause of childhood-onset chylomicronaemia syndrome. Missense mutations in lipoprotein lipase (LPL) or in proteins influencing LPL activity or stability have been shown to be critical determinants of chylomicronaemia syndrome. The main objective of this study was to assess the primary deficiency in five cases of childhood-onset chylomicronaemia syndrome. SETTING Lipid clinic at a university hospital, SUBJECTS Subjects presenting with severe hypertriglyceridaemia and chylomicronaemia syndrome in which reduced LPL activity and mass were observed. INTERVENTIONS Analysis of LPL and GPIHBP1 genes. RESULTS Amongst the five patients, one novel homozygous missense mutation (p.C68Y) in exon 3 of GPIHBP1 was identified. The other four patients were homozygous for the common LPL mutation p.G188E. CONCLUSION These findings provide further evidence that GPIHBP1 is involved in the catabolism of triglyceride-rich lipoproteins and plays a role in childhood-onset chylomicronaemia.
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Mancera J, Rioja J, Sánchez-Chaparro M, Moreno T, Sánchez-Pérez M, Ariza-Corbo M, González-Santos P, Valdivielso P. 510 PERIPHERAL ARTERIAL DIASESE AND TYPE 2 DIABETES MELLITUS: ROLE OF INFLAMMATORY AND HEMATOLOGICAL PARAMETERS. ATHEROSCLEROSIS SUPP 2011. [DOI: 10.1016/s1567-5688(11)70511-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Valdivielso P, Catalina-Romero C, González-Quintela A, Sánchez-Chaparro M, Sainz-Gutiérrez J, Sanz-Martín C, Gutiérrez-González F, Calvo E, Ruilope L. 555 THE RELATIONSHIP BETWEEN JOB STRESS AND DYSLIPIDEMIA. ATHEROSCLEROSIS SUPP 2011. [DOI: 10.1016/s1567-5688(11)70556-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Maqne J, Coca-Prieto I, Kroupa O, Gonzalez-Santos P, Olivecrona G, Ehrenborg E, Valdivielso P. 622 CHILHOOD-ONSET CHYLOMICRONEMIA WITH REDUCED PLASMA LPL ACTIVITY AND MASS: IDENTIFICATION OF A NOVEL GPIHBP1 MUTATION. ATHEROSCLEROSIS SUPP 2011. [DOI: 10.1016/s1567-5688(11)70623-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Fanton N, Moreno T, Alférez M, Jiménez M, Coca I, Vianello D, Zambon A, Valdivielso P. 99 OXIDIZED-LDL AND APO B48 IN DIABETIC KIDNEY DISEASE. ATHEROSCLEROSIS SUPP 2011. [DOI: 10.1016/s1567-5688(11)70100-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Clemente-Postigo M, Queipo-Ortuño M, Valdivielso P, Tinahones F, Cardona F. Effect of apolipoprotein C3 and apolipoprotein A1 polymorphisms on postprandial response to a fat overload in metabolic syndrome patients. Clin Biochem 2010; 43:1300-4. [DOI: 10.1016/j.clinbiochem.2010.08.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2010] [Revised: 07/14/2010] [Accepted: 08/08/2010] [Indexed: 10/19/2022]
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Valdivielso P, Solveig N, Rioja J, Olivecrona G, Mancera J, Ariza M, Sánchez-Chaparro M, Ferro A, González-Santos P. Fasting Apolipoprotein B48, Pre-heparin LPL Mass and Peripheral Arterial Disease in Type 2 Diabetic Patients: Preliminary Report. ATHEROSCLEROSIS SUPP 2010. [DOI: 10.1016/j.atherosclerosissup.2010.04.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Mancera J, Rioja J, Ariza MJ, Paniagua F, Ginel-Mendoza L, Sánchez Chaparro MÁ, González-Santos P, Valdivielso P. MS458 CYSTATIN C AND SUBCLINICAL PERIPHERAL ARTERIAL DISEASE IN PATIENTS WITH TYPE 2 DIABETES. ATHEROSCLEROSIS SUPP 2010. [DOI: 10.1016/s1567-5688(10)70959-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Valdivielso P, Puerta S, Rioja J, Alonso I, Ariza MJ, Sánchez-Chaparro MA, Palacios R, González-Santos P. Postprandial apolipoprotein B48 is associated with asymptomatic peripheral arterial disease: a study in patients with type 2 diabetes and controls. Clin Chim Acta 2010; 411:433-7. [PMID: 20059992 DOI: 10.1016/j.cca.2009.12.022] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2009] [Revised: 12/20/2009] [Accepted: 12/23/2009] [Indexed: 12/12/2022]
Abstract
BACKGROUND Postprandial hyperlipidemia is a common feature in type 2 diabetes; our aim was to investigate whether there is an association between subclinical peripheral arterial disease (PAD) and the levels of apolipoprotein B48, as a specific marker for postprandial lipidemia. METHODS We enrolled 101 patients with type 2 diabetes and 73 controls free from clinical cardiovascular disease. Main outcome measures were the presence of subclinical PAD, assessed by the ankle-brachial index, and the intestinal particles measured as the concentration of apolipoprotein B48 at fasting and 4h after a mixed breakfast. RESULTS No control had subclinical PAD. Of the 101 diabetic patients, 21 had subclinical PAD. The levels of apo B48, both fasting and postprandial, were only significantly raised in the diabetic patients who had PAD. The diabetic patients without vascular disease had similar concentrations of triglycerides and apo B48 to the controls. In binary logistic regression analyses, only smoking and postprandial B48 levels, in addition to diabetes, were independently associated with PAD. On the other hand, PAD but not diabetes was associated with the fasting and postprandial levels of apo B48. CONCLUSION Our study suggests that apolipoprotein B48 levels might be a marker of occult PAD in patients suffering from type 2 diabetes mellitus. Accordingly, subclinical PAD should be taken into account in studies on postprandial lipidemia involving patients with diabetes.
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Ariza M, Coca I, García-Arias C, Sánchez-Chaparro M, Román-García J, Rioja J, Hornos A, Calvo-Bonacho E, González-Santos P, Olivecrona G, Valdivielso P. Genetic analysis of patients with severe hypertriglyceridaemia. ATHEROSCLEROSIS SUPP 2008. [DOI: 10.1016/j.atherosclerosissup.2008.09.420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Valdivielso P, Gómez-Doblas JJ, Macias M, Haro-Liger M, Fernández-Nebro A, Sánchez-Chaparro MA, González-Santos P. Lupus-associated endothelial dysfunction, disease activity and arteriosclerosis. Clin Exp Rheumatol 2008; 26:827-833. [PMID: 19032815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
OBJECTIVE To analyze endothelial function in systemic lupus erythematosus (SLE), and its relationship with disease activity and subclinical arteriosclerosis. METHODS We studied a group of 26 patients with SLE and 21 age- and sex-matched controls. None of the patients or controls had had any ischemic event. Data were recorded on medical history, anthropometrics, prior treatment and the lupus activity index (LAI). Endothelial function was quantified by flow-mediated dilatation in the brachial artery. The presence of subclinical arteriosclerosis was assessed by the average intima-media thickness (IMT) on carotid ultrasound. RESULTS The patients and the controls had a similar degree of carotid IMT (0.58+/-0.08 mm vs. 0.57+/-0.07 mm, NS) and a similar prevalence of carotid plaque (27% vs. 24%, NS). However, the SLE patients had worse endothelial function than the controls (FMD 12.4+/-4.4% vs. 16.9+/-5.5%, p<0.05). This difference remained after adjusting for age, smoking, body mass index, waist circumference, total cholesterol, triglycerides, HDL cholesterol, apolipoproteins A-1 and B100 and postmenopausal status. A significant association was found in the SLE patients between FMD and LAI (Spearman Rho -0.462, p<0.05). CONCLUSION SLE-associated endothelial dysfunction is present in patients who have no prior ischemic events and with the same degree of subclinical arteriosclerosis as controls. The endothelial dysfunction is significantly associated with the degree of disease activity.
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Valdivielso P, Puerta S, Rioja J, Ariza M, Hornos A, Garcia-Arias C, Sanchez-Chaparro M, Gonzalez-Santos P. FASTING AND POSTPRANDIAL APO-B48 ARE INCREASED IN PATIENTS WITH TYPE 2 DIABETES WITH ATHEROSCLEROSIS. ATHEROSCLEROSIS SUPP 2008. [DOI: 10.1016/s1567-5688(08)70290-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Valdivielso P, Sanchez Chaparro M, Calvo Bonacho E, Cabrera Sierra M, Sainz Gutierrez J, Fernandez Meseguer A, Fernandez-Labandera C, Ruiz Moraga M, Galvez Moraleda A, Roman Garcia J. HYPERTRIGLYCERIDEMIA, CARDIOVASCULAR RISK FACTORS, AND GLOBAL CARDIOVASCULAR RISK IN THE SPANISH WORKING POPULATION. ICARIA STUDY GROUP. ATHEROSCLEROSIS SUPP 2008. [DOI: 10.1016/s1567-5688(08)70062-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Rioja J, Pozo A, Ariza M, Gonzalez-Alegre M, Hornos A, Valdivielso P, Gonzalez-Santos P. PO21-672 ADIPONECTIN AND INFLAMMATORY MARKERS IN OBESE NON-DIABETICS AND OBESE TYPE 2 DIABETICS. ATHEROSCLEROSIS SUPP 2007. [DOI: 10.1016/s1567-5688(07)71682-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ariza M, Hornos A, Rioja J, Requena G, Roman-Garcia J, Valdivielso P, Sanchez-Chaparro M, Gonzalez-Santos P. PO5-123 ASSOCIATION OF LPL VARIANTS, D9N AND N291S, AND APO E POLYMORPHISMS WITH HYPERTRIGLYCERIDEMIA IN A MEDITERRANEAN SPANISH WORKING POPULATION. ATHEROSCLEROSIS SUPP 2007. [DOI: 10.1016/s1567-5688(07)71133-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Valdivielso P, López-Sánchez J, Garrido A, Sánchez-Carrillo JJ. Metastatic calcifications and severe hypercalcemia in a patient with parathyroid carcinoma. J Endocrinol Invest 2006; 29:641-4. [PMID: 16957413 DOI: 10.1007/bf03344164] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Primary hyperparathyroidism is rarely produced by parathyroid carcinoma. We present the case of a 63-yr-old man who was admitted due to recent onset of constipation, weakness and progressive lethargy. At physical examination, a left cervical mass was palpated. Marked hypercalcemia (serum calcium 25 mg/dl) (6.22 mmol/l) complicated by renal insuficiency (serum creatinine 4.4 mg/dl) (388 micromol/l) was found, but both were unresponsive to conventional therapy and hemofiltration. Autopsy examination showed a carcinoma of the upper left parathyroid gland, multiple foci of metastatic calficications in the vessel walls and parenchyma of both lungs and kidneys, and the myocardium, which contributed to multi-organ failure and death. In addition to describing the clinical presentation, we review the mechanism of metastatic calcifications as well as the role of renal function and hyperphosphatemia, and the basis for therapy of hypercalcemic crisis.
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Ariza M, González-Alegre M, Ulzurrun E, Rioja J, Escalona-Pérez E, Valdivielso P, González-Santos P. Mo-P6:395 Association of the -250G/A promoter polymorphism of the hepatic lipase gene with the risk of peripheral arterial disease in type 2 diabetics. ATHEROSCLEROSIS SUPP 2006. [DOI: 10.1016/s1567-5688(06)80525-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Rioja J, Escalona F, Ariza M, Gonzalez-Alegre M, Ulzurrun E, Valdivielso P, Gonzalez-Santos P. We-P11:5 Postprandial lipemia and insulin resistance in individuals with and without type 2 diabetes. ATHEROSCLEROSIS SUPP 2006. [DOI: 10.1016/s1567-5688(06)81361-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Ariza M, Rioja J, Gonzalez-Alegre M, Valdivielso P, Ulzurrun E, Gonzalez-Santos P. W07-P-003 Associations of LPL variants, Hind III and Pvu II, with plasma levels of lipids, lipoproteins, and insulin resistance, in a type 2 diabetic population. ATHEROSCLEROSIS SUPP 2005. [DOI: 10.1016/s1567-5688(05)80104-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Valdivielso P, Hidalgo A, Aguilar I, Escalona F, Rioja P, Ariza M, Gonzalez T, Urrulzun E, González-Santos P. W08-P-034 Lack of association between central obesity and postprandial triglycerides. ATHEROSCLEROSIS SUPP 2005. [DOI: 10.1016/s1567-5688(05)80150-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Valdivielso P, Calandra S, Durán JC, Garuti R, Herrera E, González P. Coronary heart disease in a patient with cerebrotendinous xanthomatosis. J Intern Med 2004; 255:680-3. [PMID: 15147532 DOI: 10.1111/j.1365-2796.2004.01316.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Coronary heart disease is a prevalent condition and a leading cause of death in developed countries. Most cases are due to the cluster of classical risk factors, such as smoking, diabetes, high blood pressure and dyslipidaemia. However, a few patients develop severe and premature arteriosclerosis in spite of absence of common risk factors. Here, we present the clinical, analytical and molecular features of a 36-years-old man who died from advanced ischaemic heart disease as a result of cerebrotendinous xanthomatosis (CTX), a rare condition characterized by elevation in plasma and most tissues of cholestanol and where neurological impairment is the hallmark of this disease. We discuss the relevance of heart disease and the mechanism leading to accelerate arteriosclerosis is CTX.
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de la Vega C, Ruiz Y, Rioja J, Escalona F, Gonzalez T, Ariza M, Valdivielso P, Gonzalez-Santos P. M.499 Risk predicting scores and subclinical atherosclerosis in type 2 diabetics. ATHEROSCLEROSIS SUPP 2004. [DOI: 10.1016/s1567-5688(04)90497-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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González-Alegre T, Ariza M, Rioja J, Valdivielso P, Pinzón J, Ulzurrum E, González Santos P. M.526 Predictive factors of hypertriglyceridemia in compensated type 2 diabetes mellitus (DM-2). Variations in plasma lipoproteins associated with hypertriglyceridemia (HTG). ATHEROSCLEROSIS SUPP 2004. [DOI: 10.1016/s1567-5688(04)90524-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ariza M, González-Alegre M, Ulzurrun E, Rioja J, García-Arias C, Valdivielso P, Gonzaléz-Santos P. W14.346 Genetic polymorphisms in lipid metabolism related genes: Associations with plasma lipoproteins and other biochemical markers in a type 2 diabetic population. ATHEROSCLEROSIS SUPP 2004. [DOI: 10.1016/s1567-5688(04)90345-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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